I hate when things get sidetracked. ktgirl has a great idea in journaling. I journal and take my notes with me. The doc often has that look upon his face like, “Oh great, he’s brought his notes…sh**!” But it is worth it and helps. When I really want to torque him I bring diagrams.

Sometimes I start off with a point in my notes and let him guide the session from there. I don’t share all of my notes but bringing them may be a help when there are large gaps between sessions this way you can bring up things that you would want to discuss but otherwise may have forgotten once the session finally comes round.

I wish you the best.